Provider Demographics
NPI:1942325162
Name:PROWERS COUNTY DSS
Entity Type:Organization
Organization Name:PROWERS COUNTY DSS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUNE
Authorized Official - Middle Name:
Authorized Official - Last Name:UNRUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-336-7486
Mailing Address - Street 1:1001 S MAIN ST
Mailing Address - Street 2:P.O. BOX 1157
Mailing Address - City:LAMAR
Mailing Address - State:CO
Mailing Address - Zip Code:81052-3838
Mailing Address - Country:US
Mailing Address - Phone:719-336-7486
Mailing Address - Fax:719-336-7198
Practice Address - Street 1:1001 S. MAIN
Practice Address - Street 2:
Practice Address - City:LAMAR
Practice Address - State:CO
Practice Address - Zip Code:81052
Practice Address - Country:US
Practice Address - Phone:719-336-7486
Practice Address - Fax:719-336-7198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle